Witt, Mallory
Witt, Mallory is an individual health care provider with primary practice located at 1000 W Carson St Box 480, Torrance CA 90502-2004. She recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as her primary health care specialty. Witt, Mallory can be contacted via phone (310) 222-2365.Contact Information
Primary practice address
1000 W Carson St Box 480
Torrance CA 90502-2004
Phone: (310) 222-2365
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | G59860 | California |
Profile Details
| NPI number | 1275687998 |
|---|---|
| LBN Legal business name | Witt, Mallory |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 9th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275687998 | NPPES |
| California | MEDICAID | 00G598600 |
Popular Providers
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Daar, Eric S.
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Spellberg, Brad
1000 W Carson St Box 480, Torrance CA 90502-2004 -
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Ding, James C
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Wang, Angel
1000 W Carson St Division Of Infectious Diseases, Torrance CA 90502-2004